Answers 2022/2023
. A nurse is admitting a client who practices Hinduism. The nurse should identify
that which of the following foods is prohibited according to Hindu dietary
practices?
Pork
Chicken
Beef
Seafood - ANSWER-Beef
.. A nurse is providing teaching about formula feeding to the parents of an
infant. Which of the following instructions should the nurse include?
Formula that remains in the bottle should be used for one more feeding.
Formula should be changed to whole milk when the infant is 9 months old.
If the infant is gaining weight too rapidly, dilute the formula.
If the infant turns away after taking most of the feeding, stop the feeding. -
ANSWER-If the infant turns away after taking most of the feeding, stop the
feeding.
.. A nurse is reinforcing dietary teaching with a client who has vitamin A
deficiency. Which of the following food choices should the nurse recommend
the best source of vitamin A?
,1 small baked sweet potato
1 cup avocado
1 cup green beans
1 large apple - ANSWER-1 small baked sweet potato
.. A nurse is teaching a client who has chronic kidney disease about dietary
needs. Which of the following foods should the nurse identify as being the
lowest in phosphorus?
Medium apple
Bran cereal
Scrambled eggs
Ground turkey - ANSWER-Medium apple
.. A nurse is teaching an in-service about manifestations of hypoglycemia to a
group of newly licensed nurses. Which of the following should the nurse include
in the teaching?
Blurred vision
Vomiting
Kussmaul respirations
Bradycardia - ANSWER-Blurred vision
.A client is prescribed a 1500 calorie diet. Thirty percent of the calories are to be
derived from fat. How many grams of fat should the nurse tell the client to
,consume per day? (Round the answer to the nearest whole number. Use a
leading zero if it applies. Do not use a trailing zero.) - ANSWER-50
.A home health nurse is conducting an initial visit with an older adult client. The
client lives alone and has difficulty preparing his own meals. Which of the
following actions should the nurse take first?
Discuss nutritional requirements with the client.
Refer the client to a senior citizen center.
Arrange for a home-delivered meal program.
Perform a nutrition screening. - ANSWER-Perform a nutrition screening.
.A nurse has just inserted an NG tube for a client who is to start enteral tube
feedings. Which of the following actions should the nurse take to verify tube
placement?
Measure the tube length.
Obtain an abdominal x-ray.
Flush the tube with 20 mL of water.
Auscultate the client's lungs - ANSWER-Obtain an abdominal x-ray.
.A nurse in a providers office is reviewing the laboratory values of a client who
reports a poor appetite. Which of the following value should a nurse reported
provider? - ANSWER-Hgb 10 g
, .A nurse is a long-term care facility is developing strategies to promote
increased food intake for an older adult client. Which of the following
interventions should the nurse implement?
Offer sugar substitutes to increase the client's appetite.
Provide opportunities to eat three large meals per day.
Provide entertainment while the client is eating.
Offer finger foods at mealtime. - ANSWER-Offer finger foods at mealtime.
.A nurse is administering continuous enteral feedings for a client through a peg
tube. Which of the following action should the nurse take? - ANSWER-Return
gastric contents if residual is less than 250 ml
.A nurse is assessing a client at mealtime who is at risk for aspiration following a
stroke. Which of the following action should the nurse take? - ANSWER-Instruct
the client to tuck her chin when swallowing
.A nurse is assessing a client who has a stage III pressure ulcer that is healing
poorly. The nurse should identify that which of the following vitamin
deficiencies increases the client's risk for delayed wound healing?
Vitamin C
Vitamin D
Vitamin E
Vitamin B6 - ANSWER-Vitamin C